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1811016140
IRENE TAN LU
NORTH PORT, FL
NPI
1811016140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT20719)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mrs. IRENE TAN LU RPT
3749 CABALLERO AVE
NORTH PORT, FL 34286-6966
Phone number: 941-876-6888
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Mailing Address
Mrs. IRENE TAN LU RPT
3749 CABALLERO AVE
NORTH PORT, FL 34286-6966
Phone number: 941-876-6888
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